Smith Kathy W, Amini Richard, Banerjee Madhulika, Clemens Conrad J
All authors are with the University of Arizona College of Medicine-Tucson.
is Associate Professor, Department of Psychiatry, and Assistant Dean of Student Affairs.
J Grad Med Educ. 2021 Apr;13(2):276-280. doi: 10.4300/JGME-D-20-00653.1. Epub 2021 Mar 2.
With the recent announcement that Step 1 score reporting will soon change to pass/fail, residency programs will need to reconsider their recruitment processes.
We (1) evaluated the feasibility of blinding residency programs to applicants' Step 1 scores and their number of attempts throughout the recruitment process; (2) described the selection process that resulted from the blinding; and (3) reviewed if a program's initial rank list, created before scores were known, would be changed before submission for the Match.
During the 2018-2019 and 2019-2020 recruitment seasons, all programs at a single sponsoring institution were invited to develop selection criteria in the absence of Step 1 data, and to remain blinded to this data throughout recruitment. Participating programs were surveyed to determine factors affecting feasibility and metrics used for residency selection. Once unblinded to Step 1 scores, programs had the option to change their initial rank lists.
Of 24 residency programs, 4 participated (17%) in the first year: emergency medicine, neurology, pediatrics, and psychiatry. The second year had the same participants, with the addition of family and community medicine and radiation oncology (n = 6, 25%). Each program was able to determine mission-specific qualities in the absence of Step 1 data. In both years, one program made changes to the final rank list.
It was feasible for programs to establish metrics for residency recruitment in the absence of Step 1 data, and most programs made no changes to final rank lists after Step 1 scores were known.
随着近期宣布第一步考试成绩报告将很快改为通过/不通过，住院医师培训项目将需要重新考虑其招聘流程。
我们（1）评估了在整个招聘过程中对住院医师培训项目隐瞒申请人第一步考试成绩及其考试次数的可行性；（2）描述了因隐瞒而产生的选拔过程；（3）审查了在知晓成绩之前创建的项目初始排名列表在提交匹配之前是否会发生变化。
在2018 - 2019年和2019 - 2020年招聘季期间，邀请了一个主办机构的所有项目在没有第一步考试数据的情况下制定选拔标准，并在整个招聘过程中对该数据保持不知情。对参与项目进行调查，以确定影响可行性的因素以及用于住院医师选拔的指标。一旦得知第一步考试成绩，项目可以选择更改其初始排名列表。
在24个住院医师培训项目中，第一年有4个项目（17%）参与：急诊医学、神经学、儿科学和精神病学。第二年参与项目相同，另外还有家庭和社区医学以及放射肿瘤学项目（n = 6，25%）。每个项目都能够在没有第一步考试数据的情况下确定特定任务所需的素质。在这两年中，有一个项目对最终排名列表进行了更改。
对于项目来说，在没有第一步考试数据的情况下为住院医师招聘制定指标是可行的，并且在得知第一步考试成绩后，大多数项目对最终排名列表没有进行更改。
